I'm sorry to be really ignorant, but what is this form? I've never heard of it.I've posted about this too. Fear about this consumes me. I signed it in my ignorance right as we had decided to stop vaccinating and my oldest had his 4 year well check. I didn't know much back then about the law or what doctors were liable for or what my rights were. We actually contacted an attorney who is a family friend about this recently. If you want to send me a PM I am happy to share what he told us. He basically said we needed to add a letter to our child's record withdrawing our signature. It's not perfect but it's the best we can do. We have written the letter but haven't had it added to our son's record yet. It's a fine line and our attorney agreed. You don't want to seem combative or stir the pot - don't want to accuse the doc of being a jerk by manipulating you into signing something but you want to protect your family. I hate that stupid form. I hate it. This sounds crazy but I told my husband I feel like it's robbed some of my joy of my kid's childhood b/c I'm always worried if I do the wrong thing at the ER by declining treatment or whatever, or any number of other things, I will be accused of something based on that dumb, stupid form. But please PM me. And try not to freak out Enjoy your Mother's Day. We all do the best we can with the knowledge we had at the time, you know?
I know that failure to follow the recommendations about vaccination may endanger the health or life of my child and others with whom my child might come into contact.